Cow's milk allergy: Guidelines for the diagnostic evaluation

被引:4
作者
Kirchlechner, V. [1 ]
Dehlink, E. [1 ]
Szepfalusi, Z. [1 ]
机构
[1] Med Univ Vienna, Klin Kinder & Jugendheilkunde, Abt Allgemeine Padiatrie, A-1090 Vienna, Austria
来源
KLINISCHE PADIATRIE | 2007年 / 219卷 / 04期
关键词
cow's milk allergy; diagnostic guidelines; oral food-challenge; elimination diet;
D O I
10.1055/s-2006-921357
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
About 2 % of the general population and up to 6 % of children suffer from food allergy. Cow's milk is charged with a important role in infancy after weaning, since conventional formula are based on its procession. IgE-mediated and Non-IgE-mediated allergic reactions, which are different in manifestation and pathogenesis, can be distinguished. A special role play the exacerbation of atopic dermatitis and the gastrointestinal-food-hypersensitivity-reactions. Skin-prick-test and determination of specific IgE are important diagnostic tools beside medical history. The golden standard of diagnosis is the double-blind-placebo-controlled-food-challenge. The clear result from food-challenge allows to verify suspected food allergies or, on the other hand, to avoid unnecessary diets. Extensively-hydrolysed-formula or Amino-acidformula are a high nutritional value alternative in case of proved cow's milk allergy in infancy.
引用
收藏
页码:201 / 205
页数:5
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